Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10068-10306
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 4

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponements: 2

Postponements: All the postponements in this document represent Social Security numbers.

| Reason for Board Action: The text is redacted because the public disclosure of the redaction could

| reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

! Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

ennedy Assassination
ecords Collection Act of

992 [44 USC 210% Note).

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JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

_ AGENCY : HSCA
RECORD NUMBER : 180-10068-10306

RECORDS SERIES :
STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

ORIGINATOR :
FROM :
TO 3:

TITLE :;

DATE
PAGES

03/15/78
4

SUBJECTS :—
HSCA, ADMINISTRATION
BERK, CHARLES M.

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P

DATE OF LAST REVIEW : 07/07/93

OPENING CRITERIA

COMMENTS :
Box #:1.
| [R] - ITEM IS RESTRICTED
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PAYROLL eR ZATION FORM ae ~
(Please Use Typewriter { / U.S. HOUSE OF-R PRESENTATIVES, * (Any erasures, corrections, or changes
or Ballpoint Pen) Washington, D.C. 20515 ~~ on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

oda Aha eam ate entsctties a

| hereby authorize the following payroll action:

~~ Employee Name (First-Middle-Last) | Effective Date

Eases

rharles Michael Rerk 12/31/78

Employee Social Security Number

Type of Action

CO Appointment

O Salary Adjustment
QO) Title Change

=L] Termination (At close of business on effective date)

29050-4529 _
Employing Office or Committee/Subcommittee

Shnitshoa Lat

Assassinationa C1 Leave without pay (Beginning with effective date above and ending

close of business... = )
Specify Date

(if type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title Gross Annual Salary*

a

ad tome Ea naa a ae dal eee nhl ta ah

* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office. .

(If Committee Employee, complete appropriate item below.) °

Dh ate tn

1. O Standing Committee: Staff—O] Clerical or 1 Professional.

2x0 Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res?26 __ of SER Congress.
3. 0 Joint Committee.

(If Employee of an Officer of the House, complete item below.) -

Position Number If applicable, Level________ Step________

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.

(Signature of Authorizing Official)

LOUIS STORES

Type or print nome of Authorizing Official)

<7 =.
CHATRMAR 4

at

me ne re re ee ae rr ee ae oe a a ae meme me ee ee ee ee ee

All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
_ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration. ; : _

APPROVED:

Office of Finance use only:

Office Code

if§
Monthly Annuity §___ 00 as of Payroll __: o: ; |

“>... Copy for Initiating Office or Committee... .

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NW 88326 DUTT
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PAYROLL AUTHORIZATION FORM

(Please Use Typewriter © -. U.S. HOUSE OF» REPRESENTATIVES . (Any erasures, corrections, or changes : 3
or Ballpoint Pen) 7 - Washington, D.C. 20515 - on this form must be initialed by the mos

- authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action: :

_ Employee Name (First-Middle-Last) ae ae Effective Date

Charlies Hichael Berk Maren

tad 9 e] a _
Employee Social Security Number Ss ‘Type of Action |:

wv
$90-50~-4523 E] Appointment
O1 Salary Adjustment

Employing Office or Committee/Subcommittee =. © —‘|-C. Title Change. |
1 Termination (At close of business on effective date)

C Leave without pay (Beginning with effective date above and ending

Assass j nati GAS . close of business

Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title. Change, complete appropriate information below.) -

. Position Title - ; Gross Annual Salary *

Senise Researcher $78,000.90

_* AE employee. is a civil service annuitant.(includes U.S. House of Representatives) the. gross. annual salary: shown should include the annuity received by the employee-:
plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1. O Standing Committee: Staff—C Clerical:or 0 Professional. . - ‘

2. ch Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res. 22" _of 25th Congress.
3. 0 Joint Committee.
(If Employee of an Officer of the House, complete item below.)

Position Number If applicable, Level... Step_______.

|. certify that..this authorization. is not in- violation | of 5 MSE” 3110(b), prohibiting the employment of
relatives. me - .

Date Marci ass
(If appropriate, ‘Signature of. Subcommittee Chairman or Ranking “Minority Member). ~ ca (Type or print name of Authorizing Official)
/ CHATONAS
~ (Type or print name and title ‘of above official) ee Title - if Member, District and State) ee ~

ao :
All appointments and salary adjustments for employees under the House Classification Act and for:Committee em-

. ployees, except. those of the Committee on Appropriations, the Committee onthe Budget, and the Joint Committees, -must

be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House! administration

Office of Finance use only:

Office Code

. + (Revised: August 1, 1977)
‘Copy for Initiating Office or Committee 0

me ‘s ee ey
RRORW Vane © SELRL USER RCE

vets ae

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MEMORANDUM

TO: Thomas Howarth, Budget Officer
Elizabeth Berning, Chief Clerk |

FROM: G. Robert Blakey G@ 4
15°?

DATE: 15 March 1978 a

RE: Mr. Charles M. Berk

Please be advised that effective Tuesday, March 14, 1978,
Mr. Charles M. Berk has accepted the position of Research
Attorney with the Select Committee on Assassinations.

His effective starting salary will be $18,000.00.

If you have any questions concerning this matter,

please contact me at your convenience.

GRB:Jj

Page 5

wet EN

i
s

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Certificate of Relationship/Nonrelationship to
Any Current Member of Congress

To: Select Committee on Assassinations
, (Employing Authority)

I certify that I do not have any of the following relationships to any
current Member of Congress. _

father - nephew sister-in-law
mother ’ niece stepfather
son husband stepmother
daughter wife stepson
brother father-in-law stepdaughter
sister mother-in-law stepbrother
uncle son-in-law stepsister
aunt daughter-in-law half-brother
first cousin brother-in-law half-sister

CT] I certify that Iam the __._ SC oof thee
. (Relationship)

Honorable EE,
(Name of Member to whom related)

(Employee) : 3 é

GPO 16-78695-3

thos RS

wat Ne

